NYSDOH MOLST form 2010 - www2 erie-2025

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Additionally, a MOLST form goes into effect immediately upon signing and does not expire unless an expiration date is explicitly added. Your healthcare provider should review your wishes and redocHub the form every 90 days.
The MOLST Program is an initiative to facilitate end-of-life medical decision-making in New York State, Connecticut, Massachusetts, Rhode Island, Ohio and Maryland, that involves use of the MOLST form. Most other U.S. states have similar initiatives, such as Physician Orders for Life-Sustaining Treatment.
MOLST is generally for patients with serious health conditions. The patient or other decision-maker should work with the physician or nurse practitioner and consider asking the physician or nurse practitioner to fill out a MOLST form if the patient: Wants to avoid or receive any or all life-sustaining treatment.
Your healthcare provider should review your wishes and redocHub the form every 90 days. Although providers may choose to use a form other than the MOLST, the MOLST form is the only form authorized in New York State for documenting Do Not Intubate (DNI) orders outside of the hospital setting.
MOLST is a medical order form (similar to a prescription) that relays instructions between health professionals about a patients care. MOLST is based on an individuals right to accept or refuse medical treatment, including treatments that might extend life.
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